Organization Active NPI

Professional Resource Management of Wiregrass, LLC

  • Psychiatry Physician
  • Ozark, AL
National Provider Identifier
1245508985
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PROFESSIONAL RESOURCE MANAGEMENT OF WIREGRASS, LLC
Practice address
1970 Andrews Ave
Ozark, AL 36360
Phone
(334) 712-1170
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shakir R Meghani, MD
Title
Owner
Phone
(334) 712-1170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1970 Andrews Ave
Ozark, AL 36360

Mailing address

218 Hospital Ave Ste C
Ozark, AL 36360-2072
Phone (334) 774-5005

Other names 1

  • OZARK SPECIALTY CLINIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1245508985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 HOSPITAL AVE STE C",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363602072",
            "telephone_number": "334-774-5005",
            "fax_number": "334-774-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 ANDREWS AVE",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "36360",
            "telephone_number": "334-712-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RESOURCE MANAGEMENT OF WIREGRASS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "MEGHANI",
        "authorized_official_first_name": "SHAKIR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-712-1170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OZARK SPECIALTY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OZARK SPECIALTY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozark, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.